Vaccines CPT 90678 Outpatient

RSV vaccine (Abrysvo) cost in Grinnell, IA

In Grinnell, IA, 1 hospital lists a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $403.20 to $403.20, with a median of $403.20. Across Iowa, the median is $403.20 at 29 hospitals.

Cash prices at 1 facility for code 90678, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Jan 28, 2026 and Jan 28, 2026.

Lowest$403.20Grinnell Regional Medical Center
Median$403.20half pay less
Highest$403.20in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Grinnell Regional Medical Center Grinnell, IA · (641) 236-7511 PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $403.20 $504.00 $278.35–$333.35 20% Jan 28, 2026
source file

Outpatient: lowest $403.20, median $403.20, highest $403.20.

As an inpatient, the same code is billed by 1 facility here, median $403.20. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is not below the highest rate a health plan has negotiated. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

Abrysvo is a single-dose RSV vaccine. The CDC recommends an RSV vaccine for everyone 75 and older and for adults 50 to 74 at higher risk, and Abrysvo is also given in weeks 32 to 36 of pregnancy to protect the newborn.

What the price covers

The price is for the vaccine dose. Giving the shot is usually a separate line (code 90471 for the first vaccine of the visit).